Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Rua Napoleão de Barros, 754, Sao Paulo, SP, CEP: 04024-002, Brazil.
Facultad de Enfermería, Universidad de Cantabria, Cantabria, Spain.
Eur J Trauma Emerg Surg. 2023 Aug;49(4):1855-1862. doi: 10.1007/s00068-023-02264-2. Epub 2023 Apr 5.
The study aimed to verify the association between in-hospital complications and characterization and clinical variables including hospital care and trauma severity.
This analysis with the prospective cohort data was conducted at a municipal hospital in São Paulo, Brazil, and included participants aged 14 years or older, with traumatic injuries from traffic accidents. Data was collected from January 2015 to July 2016 and included demographics variables, type of traumatic event, clinical parameters, length of stay in the Emergency department and in the Intensive Care Unit, length of hospital stay, survival probability, trauma severity and mortality.
Of the 327 patients, 25.1% had in-hospital complications and their occurrence was statistically associated with higher mean age, run-overs and higher trauma severity. The length of stay in the emergency room, hospital stay, ICU stay, percentage of deaths, and hospital readmission were higher in patients with complications. The number of complications was correlated with trauma severity, ICU stay, and mortality.
Complications were associated with older age, run-overs, greater trauma severity, length of stay and readmission after hospital discharge.
本研究旨在验证住院并发症与特征和临床变量（包括医院护理和创伤严重程度）之间的关联。
这项基于前瞻性队列数据的分析在巴西圣保罗的一家市立医院进行，纳入了年龄在 14 岁及以上、因交通事故受伤的参与者。数据收集于 2015 年 1 月至 2016 年 7 月，包括人口统计学变量、创伤事件类型、临床参数、急诊室和重症监护病房的住院时间、住院时间、生存率、创伤严重程度和死亡率。
在 327 名患者中，25.1%发生了院内并发症，其发生与平均年龄较高、碾压伤和更高的创伤严重程度具有统计学关联。并发症患者的急诊室、住院、重症监护病房停留时间、死亡率和医院再入院率较高。并发症的数量与创伤严重程度、重症监护病房停留时间和死亡率相关。
并发症与年龄较大、碾压伤、更高的创伤严重程度、住院时间和出院后再入院有关。
